Quality of Life Clinical Trial
Official title:
Validation of a French-language Version of Specific Quality of Life Questionnaires in Patients With Peripheral Facial Palsy
Facial palsy is a serious and disabling disease whose drudgery and sensation are probably
underestimated. Psychological, social and economic issues have major impacts although vital
prognosis is not engaged in this pathology. Facial palsy remains a personal drama for
patient. Consequences may take the form of: aesthetic deformation, modification of body
image, with socio-professional consequences. Beside unsightly facial aspects, weakness of
facial muscles can cause troubles in eating, drinking, talking, communicating personal
emotions and communication. Facial palsy impacts patients' quality of life (QOL) and affects
mental health. This wide multidimensional concept usually includes self-measures of physical
and mental health. QOL is evaluated with general and specific scales. General scales allow to
compare QOL of different diseases, when specific scales focus on one disease and consider all
aspects related to this disease and therefore are more appropriate and sensitive in
dimensions related to patient disease and health.
"Facial disability Index" (FDi) and "Facial Clinimetric Evaluation" (FaCE) are the most used
validated questionnaires to assess QOL of patients suffering from peripheral facial palsy
(PFP). There is no existing validated questionnaire or scale in French version despite many
French studies on PFP available. Using these questionnaires in French language requires
translation and strict approval of the new language version. The aim of the study is to
translate and validate French versions of specific scales of QOL in peripheral facial palsy
patients: FDI and FaCE. Secondary objective is to evaluate QOL of patients depending on PFP
etiology. Translation process will be done respecting internationally recognized rules. A
pilot study will be performed on 5 physicians and 5 patients in order to validate the
questionnaires translations. French versions obtained will be used for their validation on 80
patients suffering from PFP.
Cronbach's alpha will be estimated to check internal consistency of FDI and FaCE scales. Test
re-test reliability will be calculated with inter-class correlation, reiterating
questionnaires one week later. Scores of FDI and FaCE scales will be compared to other
clinical evaluation scales, estimating correlation coefficient. Social function of FDI and
FaCE scales will be compared with general scale SF-36 scores, estimating a correlation
coefficient.
Facial palsy is a serious and disabling disease whose drudgery and sensation are probably
underestimated. Psychological, social and economic issues have major impacts although vital
prognosis is not engaged in this pathology. Facial palsy remains a personal drama for
patient. Consequences may take the form of: aesthetic deformation, modification of body
image, with socio-professional consequences. Beside unsightly facial aspects, weakness of
facial muscles can cause troubles in eating, drinking, talking, and communicating personal
emotions. Physical as well as psychological repercussions limit daily verbal and non-verbal
communication.
Facial palsy impacts patients' quality of life (QOL) and affects mental health. Consequently,
QOL impacts and directs the patient's care and the healthcare professionals widely take
account of QOL.
This wide multidimensional concept usually includes self-measures of physical and mental
health. QOL is evaluated with general and specific scales. General scales allow to compare
QOL of different diseases, when specific scales focus on one disease and consider all aspects
related to this disease and therefore are more appropriate and sensitive in dimensions
related to patient disease and health.
"Facial disability Index" (FDi) and "Facial Clinimetric Evaluation" (FaCE) are the two most
used validated questionnaires to assess QOL of patients suffering from peripheral facial
palsy (PFP).
There is no existing validated questionnaire or scale in French version evaluating QOL of
patients with PFP despite many French studies on PFP available. Using these questionnaires in
French language requires translation and strict approval of the new language version.
The aim of the study is to translate and validate French versions of specific scales of QOL
in peripheral facial palsy patients: FDI and FaCE. Secondary objective is to evaluate QOL of
patients depending on PFP etiology.
Translation process will be done respecting internationally recognized rules. A pilot study
will be performed on 5 physicians and 5 patients in order to validate the questionnaires
translations. French versions obtained for these 2 questionnaires will be used for their
validation on 80 patients suffering from PFP in our hospital.
Cronbach's alpha will be estimated to check internal consistency of FDI and FaCE scales. Test
re-test reliability will be calculated with inter-class correlation, reiterating
questionnaires one week later. Scores of FDI and FaCE scales will be compared to
House-Brackmann and Sunnybrook clinical evaluation scales, estimating correlation
coefficient. Social function of FDI and FaCE scales will also be compared with general scale
SF-36 scores, estimating a correlation coefficient.
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